Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Original ARDSNet Mechanical Ventilation Protocol

Acute Respiratory Distress Syndrome Network (ARDSNet)

NIH NHLBI ARDS Clinical Network 

#Management #CriticalCare
Protocol Acute ... ARDSNet) NIH NHLBI ARDS ... Clinical Network #Management ... #CriticalCare # ... #Protocol #ARDS
Mechanical ventilation in obese patients according to the i-STAR Algorithm
Intubate
 β€’ Anticipate difficult airway management and
to the i-STAR Algorithm ... difficult airway management ... patients #iSTAR #Algorithm ... #obese #Management ... #CriticalCare
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
failure β€’ Adjust ventilator ... clearance (ie, ventilation ... institutional protocol ... #ECMO #Basics #management ... #pulmonary #criticalcare
Proposed Respiratory Support Algorithm in COVID19

The β€˜intubate early’ paradigm, where patients who β€œfail” low flow oxygen
Proposed Respiratory Support ... Algorithm in COVID19 ... the mechanical ventilation ... #COVID19 #management ... #schema #criticalcare
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
Selecting Respiratory Support ... noninvasive respiratory support ... #Management #CriticalCare ... #Noninvasive #Ventilation ... RespiratorySupport #Selection #Algorithm
β–Ί
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 β€’ Typically set at
for respiratory support ... #respiratory #support ... #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm
Approach to ARDS - PseudoARDS

A diagnostic/therapeutic strategy for ARDS is suggested, based on the PROSEVA trial
Approach to ARDS ... Initial management ... stabilization on the ventilator ... #Management #CriticalCare ... #Algorithm #PROSEVA
β–Ί
COVID-19 Intubations - Team Roles to Minimize Exposure

Respiratory Therapist is encouraged to stay outside the room
or to setup the ventilator ... Documentation RN stays ... equipment or to support ... #Assignments #Management ... #CriticalCare #
Hypothermia - Protocol for ED
CORE TEMP < 34ΒΊ
INITIAL THERAPY
 β€’ Remove wet garments
 β€’ Avoid rough
Hypothermia - Protocol ... INVESTIGATIONS β€’ Stat ... #Hypothermia #Protocol ... #management #treatment ... #algorithm